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RECRUITING
NCT07224945
NA

A Multi-Site Feasibility Trial of Embedded Emergency Department Physical Therapy

Sponsor: Northwestern University

View on ClinicalTrials.gov

Summary

This is a multi-site feasibility trial of an embedded emergency department (ED) physical therapy care model for low back pain at two EDs in the Northwestern Medicine and University of Utah Health systems. The study intervention (embedded ED physical therapy) is a reconceptualization of the traditional outpatient physical therapy care model in which we place a physical therapist directly in the ED to initiate timely care for patients with low back pain; we previously evaluated this intervention in a single center randomized trial. This multi-site feasibility trial will be comprised of 9 months of active intervention and 12 months of longitudinal data collection. The two sites will be parallel randomized 1:1 to receive either the embedded ED physical therapy condition (intervention, n=1) or usual care (control, n=1) via simple randomization. This trial focuses on feasibility outcomes - such as our ability to enroll participants, deliver the intervention with fidelity, and collect longitudinal patient-reported outcome data and electronic health record data - but a future multi-site full-scale trial will focus on the outcomes of pain-interference and opioid use.

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

140

Start Date

2026-01-05

Completion Date

2028-01-04

Last Updated

2026-01-06

Healthy Volunteers

No

Conditions

Interventions

OTHER

Embedded Emergency Department Physical Therapy

We place a physical therapist directly in the emergency department to initiate timely care for patients with low back pain rather than waiting on an outpatient referral to physical therapy, which can often take weeks to accomplish, if ever at all. The actual techniques and approaches used by the embedded ED physical therapist in this study (e.g., exercises, maneuvers, coaching) are standard-of-care and do not involve investigational interventions, devices, or drugs.

OTHER

Usual Care

Standard-of-care treatment for low back pain presenting in the emergency department

Locations (2)

Northwestern Memorial Hospital

Chicago, Illinois, United States

University of Utah

Salt Lake City, Utah, United States